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Long-Term Patient-Reported Outcomes after Multiport Robot-Assisted Surgery versus Video-Assisted Surgery for Lung

Xing Wei1, Hongfan Yu2, Wei Dai1

  • 1Department of Thoracic Surgery, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital and Institute, Sichuan Cancer Center, University of Electronic Science and Technology of China, Chengdu, China.

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Summary
This summary is machine-generated.

Robot-assisted thoracoscopic surgery (RATS) shows improved outcomes over multiportal VATS but increased cough versus uniportal VATS. Patient-reported outcomes are crucial for surgical decisions in lung cancer treatment.

Keywords:
Health-related quality of life (HRQoL)Lung cancerPatient-reported outcomes (PROs)Perioperative outcomesRobot-assisted thoracoscopic surgery (RATS)Video-assisted thoracoscopic surgery (VATS)

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Area of Science:

  • Thoracic Surgery
  • Surgical Oncology
  • Patient-Reported Outcomes

Background:

  • Lung cancer surgery involves comparing minimally invasive techniques.
  • Robot-assisted thoracoscopic surgery (RATS) and video-assisted thoracoscopic surgery (VATS) are key approaches.
  • Understanding patient-reported outcomes (PROs) is vital for surgical comparison.

Purpose of the Study:

  • Compare PROs and clinical outcomes of RATS versus VATS (multiportal and uniportal) in lung cancer patients.
  • Evaluate symptoms, daily functioning, and quality of life one year post-surgery.
  • Inform surgical decision-making by integrating patient perspectives.

Main Methods:

  • Prospective cohort study (CN-PRO-Lung3) data analyzed.
  • Patients with primary lung cancer undergoing RATS or VATS included.
  • Propensity score matching (PSM) used to control for baseline differences.

Main Results:

  • RATS showed lower fatigue and sleep disturbance than multiportal VATS (M-VATS).
  • RATS had superior clinical outcomes (lymph nodes, blood loss, operative time, hospital stay) but higher costs than M-VATS.
  • RATS resulted in more cough and slower HRQoL recovery than uniportal VATS (U-VATS).

Conclusions:

  • RATS offers perioperative benefits over M-VATS but with increased costs.
  • RATS improves lymph node dissection but may increase cough and slow recovery compared to U-VATS.
  • Integrating PROs into surgical decision-making is essential for optimal lung cancer treatment.